Expert Attorneys
When an insurer suspects fraud, it will usually ask an attorney to get involved. Attorneys who are retained in such situations are specialists who have either received specialized training or have sufficient experience concerning fraud and the evidence
Zalma's Insurance 101 Videoblog
An Insurance Expert's Take On Insurance Coverage and Insurance Claims Handling
Latest from Zalma's Insurance 101 Videoblog - Page 4
Insurance 101 – Chapter 16 Volume 67 – The Certified Fraud Examiner
The Certified Fraud Examiner
The Certified Fraud Examiner (CFE) is a fraud-fighting professional. The Association of Certified Fraud Examiners is an international, 25,000-member professional organization dedicated to fighting fraud and white-collar crime. It was established in 1988, and is based…
New E-Books from Barry Zalma
Random Thoughts on Insurance – Vol. IV
Since 2010 I have been writing a blog post at least five days a week. This e-book is a collection of those posts that reveal my interest
…
Insurance 101 – Chapter 16 Volume 66 – More on Fraud Divisions
More on Fraud Divisions
Fraud division results across the US are improving. Insurance fraud is estimated to take over $100 billion every year from the insurance buying public. There are now 47 dedicated insurance fraud bureaus or divisions.
The following…
Insurance 101 – Chapter 16 Volume 65 – Fraud Divisions
Fraud Divisions
In 47 states, the insurance industry pays money into a special fund, creating a fraud division within the state department of insurance.
The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the…
Insurance 101 – Chapter 16 Volume 64 – The Special Investigation Unit
The Special Investigation Unit
SIUs help identify and investigate suspicious claims, although some insurance companies outsource this work to other insurers and investigative agencies. An SIU may be a small team whose primary role is to train claim representatives to…
Insurance 101 – Chapter 16 Volume 63 – Quantifying Anti-Fraud Efforts
Quantifying Anti-Fraud Efforts
One problem with the fight against insurance fraud is that its success is hard to quantify. There is no way to say precisely how much a business has saved when a fraudulent claim is not paid since…
Insurance 101 – Chapter 16 Volume 62 – Anti-Fraud Programs
Anti-Fraud Programs
Anti-fraud statutes and regulations enacted in the various states now require that insurers institute anti-fraud programs. Good business sense should have dictated the existence of such anti-fraud programs from the date the first insurance policy was issued, but…
Insurance 101 – Chapter 16 Volume 61 – Insurance Industry Weapons
Insurance Industry Weapons
To deal authoritatively with fraud, insurers must change their approach to their claims staff.
The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at…
Insurance 101 – Chapter 16 Volume 60 – Battling Public Opinion
Battling Public Opinion
The insurance industry must fight negative public opinion. To this end, efforts have been made to portray insurance fraud as a crime that pushes up insurance costs for everyone and these efforts appear to have been successful:…